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Alaska rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $660.69 / $3,235.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $3,388.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $446.68 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,288.25 / $3,235.94